Individual
PETER S. AMENTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1 ROBERT WOOD JOHNSON PL, DEPT OF PATHOLOGY, NEW BRUNSWICK, NJ 08901-1928
(732) 937-8651
Mailing address
66 W GILBERT ST, 2ND FLOOR, TINTON FALLS, NJ 07701-4947
(721) 212-0051
(732) 212-0713
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
MA53191
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0221201
—
NJ
01
—
220005534
RR MCR
NJ
Enumeration date
10/23/2006
Last updated
07/14/2009
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